FDA Adverse Event Injury Summary report: N

IMPLANTABLE COLLAMER LENS (ICL)

MDR report key: 8678998 · Received June 7, 2019

Report

Report Number
2023826-2019-01026
Event Type
Injury
Date Received
June 7, 2019
Report Date
May 13, 2019
Manufacturer
STAAR SURGICAL COMPANY
Product Code
MTA
PMA / PMN Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JO
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AGE - UNK. SEX - UNK. WEIGHT - UNK. ETHNICITY - UNK. RACE- UNK. EVENT DATE - UNK. LOT#, SERIAL# - UNK. IMPLANT DATE - UNK. PMA/510K- UNK. (B)(4). MANUFACTURE DATE - UNK. CLAIM# (B)(4).

Description of Event or Problem · 1

AN ARTICLE WAS PUBLISHED IN THE JOURNAL OF ADVANCES IN MEDICINE AND MEDICAL RESEARCH IN MARCH 2019 TITLED, 'TORIC AND PHAKIC IOLS FOR THE TREATMENT OF ASTIGMATISM AND/OR HIGH MYOPIA: OUR EXPERIENCE AT PRINCE HASHEM HOSPITAL ZARQA.' THE ARTICLE STATES THAT 3 PATIENTS WHO RECEIVED VISIAN ICL'S HAD LENS ROTATION AFTER SURGERY AND THIS WAS DUE TO UNDERSIZING OF THE LENS. THEY UNDERWENT LENS EXCHANGE AND REPLACED WITH A LARGER ICL WITH MORE STABLE ALIGNMENT. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT NONE HAS BEEN FORTHCOMING. IF ADDITIONAL INFORMATION IS RECEIVED A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
471817 IMPLANTABLE COLLAMER LENS (ICL) PHAKIC INTRAOCULAR LENS MTA STAAR SURGICAL COMPANY N/A

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention